LEWIS’S MEDICAL SURGICAL NURSING 11TH EDITION BY HARDING TEST BANK

Chapter 02: Health Equity and Culturally Competent Care Harding: Lewis’s Medical-Surgical Nursing, 11th Edition 

MULTIPLE CHOICE 

1. The nurse is obtaining a health history from a new patient. Which data will be the focus of patient teaching? 

a. Family history 

b. Age and genders 

c. Dietary fat intake 

d. Race and ethnicity 

ANS: C 

Behaviors are strongly linked to many health care problems. The patient’s fat intake is a behavior that the patient can change. The other information will be useful as the nurse develops an individualized plan for improving the patient’s health but will not be the focus of patient teaching. 

DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance 

2. The nurse works in a clinic located in a community where many of the residents are Hispanic. Which strategy, if implemented by the nurse, would decrease health care disparities and promote health equity for this community? 

a. Improve public transportation to the clinic. 

b. Update equipment and supplies at the clinic. 

c. Teach clinic staff about cultural health beliefs.

d. Obtain low-cost medications for clinic patients. 

ANS: C 

Health care disparities are caused by stereotyping, biases, and prejudice of health care providers. The nurse can decrease these through staff education. The other strategies may also be addressed by the nurse but will not directly impact health disparities. 

DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance 

3. What information should the nurse collect when assessing the health status of a community? a. Air pollution levels 

b. Number of healthy food stores 

c. Most common causes of death 

d. Education level of the individuals 

ANS: C 

Health status measures of a community include birth and death rates, life expectancy, access to care, and morbidity and mortality rates related to disease and injury. Although air pollution, access to health food stores, and education level are factors that affect a community’s health status, they are not health measures. 

DIF: Cognitive Level: Understand (comprehension)  

TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance 

4. The nurse is caring for a patient who has traditional Native American beliefs about health and illness. Which action by the nurse is most appropriate? 

a. Avoid asking questions unless the patient initiates the conversation. 

b. Ask the patient whether it is important that cultural healers are contacted. 

c. Explain the usual hospital routines for meal times, care, and family visits. 

d. Obtain information about the patient’s cultural beliefs from a family member. 

ANS: B 

Because the patient has traditional health care beliefs, it is appropriate for the nurse to ask whether the patient would like a visit by a shaman or other cultural healer. There is no cultural reason for the nurse to avoid asking the patient questions because these questions are necessary to obtain health information. The patient (rather than the family) should be consulted first about personal cultural beliefs. The hospital routines for meals, care, and visits should be adapted to the patient’s preferences rather than expecting the patient to adapt to the hospital schedule. 

DIF: Cognitive Level: Apply (application)  

TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity